...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >The Gelfoam(R) plug: an alternative treatment for small eardrum perforations.
【24h】

The Gelfoam(R) plug: an alternative treatment for small eardrum perforations.

机译：Gelfoam（R）塞：小耳膜穿孔的替代治疗。

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

AIM: To examine if a Gelfoam(R) plug in combination with surgical removal of the perforation edges could be an alternative to the widely accepted fat plug treatment for smaller ear drum perforations. MATERIALS AND METHODS: A prospective study of 17 consecutive patients with persistent small ear drum perforations considered for myringoplasty. The perforations were central perforations 2 to 4 mm in diameter. Patient ages ranged from 6 to 83 years, and the operation was performed under general anesthesia with mask ventilation in children and under topical local anesthesia in adults. A Gelfoam(R) plug was inserted into the perforation after surgical removal of the perforation edges. The follow-up time was more than 3 months. RESULTS: The closure rate of the ear drum was 83% (15/18). Pure tone average (PTA) was 19 dB preoperatively and 16 dB postoperatively. CONCLUSIONS: We show for the first time in humans that a Gelfoam(R) plug in combination with surgical removal of the perforation edges seems to result in about the same closure rate as the fat plug technique in persistent small ear drum perforations. Moreover, the method using Gelfoam(R) is simpler and faster than the fat plug technique. We suggest that randomized studies comparing the Gelfoam(R) plug technique with the fat plug technique should be performed.
机译：目的：检查是否将Gelfoam（R）塞与手术去除穿孔边缘相结合，是否可以替代广为人接受的用于较小耳鼓穿孔的脂肪塞治疗。材料与方法：前瞻性研究连续17例持续性小鼓鼓穿孔的患者，考虑进行鼓膜成形术。穿孔是直径为2到4毫米的中央穿孔。患者年龄在6至83岁之间，儿童在全身麻醉和面罩通气下进行手术，成人在局部局部麻醉下进行手术。在手术移除穿孔边缘之后，将Gelfoam塞子插入穿孔中。随访时间超过3个月。结果：耳鼓的闭合率为83％（15/18）。术前纯音平均（PTA）为19 dB，术后为16 dB。结论：我们首次在人类中发现，Gelfoam（R）塞与外科手术去除穿孔边缘相结合，似乎能产生与持续性小耳鼓穿孔中的脂肪塞技术大致相同的闭合率。此外，与脂肪塞技术相比，使用Gelfoam的方法更简单，更快。我们建议应该进行将Gelfoam（R）塞技术与脂肪塞技术进行比较的随机研究。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号